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Individual
KHOA DANG TA
Active
Individual
KHOA DANG TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477993350
NATIONAL PROVIDER ID
CA
Enumeration date
06/25/2013
Last updated
04/10/2015
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